| 叶阗芬,余齐卫,刘毅,袁振,徐颖.tDCS后效应对卒中后手功能康复疗效的临床研究[J].中国康复,2018,33(4):289-292 |
| tDCS后效应对卒中后手功能康复疗效的临床研究 |
| Effects of occupational therapy on hand functions at post effect stage of tDCS in patients after stroke |
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| DOI： |
| 中文关键词: 卒中 手功能 经颅直流电 后效应 作业治疗 |
| 英文关键词: stroke hand function transcranial direct current stimulation post effect occupational therapy |
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| 摘要点击次数: 6414 |
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| 中文摘要: |
| 目的：观察分析经颅直流电刺激（tDCS）后效应期康复治疗对卒中后患者手功能康复的临床疗效。方法：45例脑卒中患者随机分为对照组、观察组1和观察组2，每组15例。所有治疗组都进行系统常规康复治疗，对照组给予tDCS治疗，观察组1给予作业治疗（OT）及tDCS治疗，OT在tDCS治疗前进行（即OT+tDCS），观察组2给予tDCS治疗后联合OT训练，OT在tDCS治疗后即刻开始（即tDCS+OT）。各组分别于治疗前及治疗4周后采用Fugl-Meyer量表上肢评分、改良Barthel指数(MBI)评定及Jebsen-Taylor手功能(JTT)评定，评估患者手功能及运动控制情况。结果：治疗4周后，3组患者U-FMA评分及MBI评分均较治疗前有明显提高（均P<0.05），观察组1和观察组2的评分均较对照组高（均P<0.05），且观察组2评分更高于观察组1（P<0.05）。治疗后，3组患者JTT手功能评测时间均较治疗前明显缩短（均P<0.05），观察组1和观察组2的测试改善程度均较对照组更明显（均P<0.05），且观察组2治疗前后时间差值明显高于观察组1（P<0.05）。结论：tDCS后效应期加强康复训练能有效改善卒中后患者手功能康复。 |
| 英文摘要: |
| Objective: To observe and assess the curative effect of occupational therapy (OT) on hand function of stroke patients during the post effect stage of transcranial direct current stimulation (tDCS). Methods: The 45 patients were randomly divided into three groups: control group (n=15), observation group 1 (n=15) and observation group 2 (n=15). All groups received systemic routine rehabilitation. Furthermore, control group received tDCS therapy, observation group 1 received OT before tDCS (OT + tDCS), and observation group 2 received OT immediately after tDCS (tDCS + OT). The efficacy in the three groups was assessed by Fugl-Meyer Assessment (FMA, for upper extremities), modified Barthel Index (MBI) and Jebsen-Taylor hand function test (JTT). The assessment was performed before and 4 weeks after treatment. Results: After 4-week systematic rehabilitation, the scores of each assessment in 3 groups were increased significantly as compared with pre-treatment (P<0.05). The scores in observation groups 1 and 2 were significantly higher than in the control group (P<0.05). After treatment, the scores in observation group 2 were significantly higher than those in observation group 1 (P<0.05). Conclusion: Hand function was effectively improved by rehabilitation therapy during post effect state of tDCS. |
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